Individual
MARY ANNE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
200 THEDA CLARK MEDICAL PLZ, SUITE 240, NEENAH, WI 54956-2721
(920) 725-2070
(920) 725-4549
Mailing address
200 THEDA CLARK MEDICAL PLZ, SUITE 240, NEENAH, WI 54956-2721
(920) 725-2070
(920) 725-4549
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
217-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43819800
—
WI
Enumeration date
08/03/2005
Last updated
07/08/2007
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